As crankylex says, you can't really wear a strophium under modern clothes, because it has a big ol' knot in it which would ruin the fit of your nice blouse. I prefer saggy boobs to the pain bras cause. Its a trade-off in my opinion. There are also strap attachments that can make the strap longer. I'm a 40 or 42H and mainly go without. Stretch cami with no shelf bra.